Inspection on 30/08/05 for Queens Lodge

This inspection was carried out on 30th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Queens Lodge 07/02/08

Queens Lodge 14/06/06

Queens Lodge 12/12/05

Queens Lodge 07/12/04

Queens Lodge 23/04/04

Queens Lodge 11/07/02

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Queens Lodge 4 Goffs Park Southgate Crawley, West Sussex RH10 6AX Lead Inspector Mrs S Rodgers Announced Tuesday, 30 August 2005, 09:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Queens Lodge Address 4 Goffs Park, Southgate, Crawley, West Sussex, RH10 6AX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01293 510734 01293 526816 Outreach 3 Way Vacant CRH(PC) Care home only 23 Category(ies) of LD-Learing disability - 13 places registration, with number LD(E) - Learning disability - over 65 - 10 places of places Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7 December 2004 Brief Description of the Service: Queens Lodge is a care home, registered to provide care (PC) for up to twentythree people in the Category LD, Learning Disability, including up to ten people over the age of sixty five. The property is purpose built and is situated near to Crawley town centre. The home consists of two buildings; Queens Lodge provides short stay accommodation for up to thirteen people with a learning disability and Southview which provides accommodation for up to ten people over the age of sixty five with a learning disability. In both buildings accommodation is provided on ground and first floor level. All bedroom accommodation is for single occupancy. There are lounge and dining facilities in both buildings. Outreach 3 Way is a charitable trust. the responsible individual on behalf of the trust is Mrs Vaneesa Keen. The registered managers post is currently vacant. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 5 hours and was carried out as part of the routine programme of inspections. Preparation for this inspection focused on pre inspection material submitted prior to the inspection, review of previous inspection reports and general correspondence. Comment cards were also received from three residents living at Southview and one relative/visitor. All indicated that they are happy with the services provided. During the course of the inspection the inspector toured the home, spoke with residents either privately in their own bedrooms or within the communal areas of the home in order to gain a sense of how the home is being run and how they experienced staying/living at Queens Lodge and Southview. Two staff were spoken with in order to gain a sense of the support and training they receive in order to carry out their jobs and to gain insight into how their knowledge of the aims and objectives of the homes philosophy of care From speaking with residents the inspector gained the impression that residents are satisfied with the standard of care/support they receive. The inspector also took the opportunity to observe the interaction between both residents and staff. Comments such as “the staff here are very nice” and “I would like to stay a bit longer as they are nice people”. It was noted that the atmosphere within the home was jovial and relaxed and that the staff carried out their duties in a respectful manner taking into account the dignity and privacy of residents. The two staff spoken with were knowledgeable with regards the care needs of residents. It was clear that they were aware of the homes philosophy of care i.e. to support resident to lead an independent life within their individual capabilities. They confirmed that they feel supported by the management of the organisation and that they are encouraged and supported undertake training. Following the last inspection carried out on the 7th December 2004 all three of the requirements and the one recommendation have been addressed. There is one requirement from this inspection included in the main body of the report. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 6 What the service does well: What has improved since the last inspection? What they could do better: As noted above although one registration Queens Lodge is separated into two. Queens Lodge is the short stay respite service and Southview is the home for permanent residents. Care plans in Southview were found to be comprehensive and up to date however, as the new respite provision the care records for individual residents seen at Queens Lodge were incomplete. A basic plan of care should be developed from the pre admission assessment prior to residents being admitted. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 The pre admission process ensures that staff, relatives, placing social workers and residents know that the care needs of the perspective resident can be met by the home prior to them being admitted. EVIDENCE: Pre admission documentation held on resident’s files clearly demonstrate that the resident’s individual needs and aspirations are assessed prior to them moving into the home. Records are kept of the admission process i.e. the visits made by staff to prospective residents and residents visits/short stays at the home. The admission process varies for each resident. The needs of the individual determines the length of the process and how many pre admission visits they have prior to admission. The Statement of Purpose and Service User Guide is given to residents and their representatives as part of the admission process. These documents give detailed information of service provided and is produce both in written English and ‘Makaton’ symbol form. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 Residents are consulted and are involved in making decisions about their lives. EVIDENCE: Care plans reviewed at Southview clearly demonstrate that residents participate in their reviews and are involved in the decision making process of how their assessed needs and personal goals will be met. Queen Lodge is providing a new service to accommodate residents for short respite stays, pre admission assessments were available but care plans had not been devised to demonstrate what support is to be provided. Resident’s spoken with confirmed that they can make choices concerning their own lifestyles. They confirmed that they make the decision on what activities they wish to do for example whether it is attend a day centre, go out to work or go shopping or within the home. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 13 Residents are enabled to participate in activities appropriate to their needs and preferences. Residents have access to activities within the local community. EVIDENCE: Care plans clearly demonstrate that residents are able to undertake activities that that are appropriate to their needs and wishes. The care plans clearly show that residents preferences taken into account. One resident told the inspector that she “is looking forward to going on holiday to Butlins”. Whilst the inspector was in the home staff were taking residents out shopping and in the evening a trip to the local bowling centre was organized which had been suggested by a resident. Residents spoken with told the inspector that they participate in the local community as and when they wish. Residents regularly go to the local shops and leisure facilities. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 12 One resident who was on a short stay at Queens Lodge did comment to the inspector that as part of the activities provided within the home “ it would be good if we had a computer here”. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 Support is offered to residents in a manner they prefer. Residents physical and emotional health needs are met. EVIDENCE: Care plans clearly demonstrate that support is provided in a manner preferred by residents. Each care plan has information regarding individuals personal likes/dislikes which also identifies how and when they want their care service to be provided. Each resident has a service user plan that is in pictorial format; residents and their key worker complete the document. A medical health review takes place in conjunction with health professionals and this detailed information can be/is taken to hospital appointments/admissions. Records clearly demonstrate that residents are registered with a local doctor and that they have access to other health professionals such as dentists, chiropodists and opticians. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Systems are in place to protect residents from abuse, neglect and self-harm. EVIDENCE: Records seen demonstrated that care staff receive training with regards what action to take should they suspect abuse that a resident is being abused. The members of staff spoken with gave a good account of action they would take if they had witnessed or suspected that abuse was taking place. They were also able to tell the inspection the definitions of abuse as specified in the local authorities Adult Protection procedures. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 30 The home is laid out in an appropriate manner which meets the needs of the current resident. EVIDENCE: Whilst touring the home the inspector was able to see that resident’s personal accommodation is of a good standard. Residents are encouraged to personalise them with furniture and personal items giving each room an individual homely atmosphere. All radiators have recently been fitted with covers to reduce the risk of accidental burning. All resident spoken with told the inspector that they like their rooms, they also confirmed that they personalise as they wish. Appropriate systems are in place for the safe storage of clinical waste. The home has a contract with a waste disposal company and collection of waste is done on a weekly basis. During the tour of the premises the inspector noted that the standard of cleanliness throughout the home was of a high standard. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 Residents are supported and protected by the home recruitment procedure. The staff training programme is appropriate to the needs of residents. EVIDENCE: All new staff receive induction training and then progress to the foundation course. Staff are encouraged and supported to undertake NVQ Awards specific the needs of the current residents, the Learning Disability Award Framework. From observation and via conversations with both staff and management it was apparent the staff have a good understanding of the needs of residents within their care. Recruitment records of four new employees were reviewed, they evidenced that the home recruitment procedure has been followed and records required to be kept by regulations were in good order. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 The views of residents are sought and underpin the homes self-monitoring, review and development. EVIDENCE: A quality assurance and development system is in place. An annual development plan based on the views of the reviews is in the process of being developed. The outcomes of the reviews are generally discussed with residents at residents meetings. Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 4 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 x 3 x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Queens Lodge Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 19 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 6 Regulation 15 Requirement Each resident must have a written service user plan in place when admitted into the home Timescale for action 04.10.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Queens Lodge H60-H11 S14765 Queens Lodge V237909 300805 Stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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